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Healthy lifestyle and life expectancy free of cancer, cardiovascular disease, and type 2 diabetes: prospective cohort study.
BMJ ; 368: l6669, 2020 01 08.
Artigo em Inglês | MEDLINE | ID: mdl-31915124
ABSTRACT

OBJECTIVE:

To examine how a healthy lifestyle is related to life expectancy that is free from major chronic diseases.

DESIGN:

Prospective cohort study.SETTING AND PARTICIPANTS: The Nurses' Health Study (1980-2014; n=73 196) and the Health Professionals Follow-Up Study (1986-2014; n=38 366).MAIN EXPOSURES: Five low risk lifestyle factors: never smoking, body mass index 18.5-24.9, moderate to vigorous physical activity (≥30 minutes/day), moderate alcohol intake (women: 5-15 g/day; men 5-30 g/day), and a higher diet quality score (upper 40%).

MAIN OUTCOME:

Life expectancy free of diabetes, cardiovascular diseases, and cancer.

RESULTS:

The life expectancy free of diabetes, cardiovascular diseases, and cancer at age 50 was 23.7 years (95% confidence interval 22.6 to 24.7) for women who adopted no low risk lifestyle factors, in contrast to 34.4 years (33.1 to 35.5) for women who adopted four or five low risk factors. At age 50, the life expectancy free of any of these chronic diseases was 23.5 (22.3 to 24.7) years among men who adopted no low risk lifestyle factors and 31.1 (29.5 to 32.5) years in men who adopted four or five low risk lifestyle factors. For current male smokers who smoked heavily (≥15 cigarettes/day) or obese men and women (body mass index ≥30), their disease-free life expectancies accounted for the lowest proportion (≤75%) of total life expectancy at age 50.

CONCLUSION:

Adherence to a healthy lifestyle at mid-life is associated with a longer life expectancy free of major chronic diseases.
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Texto completo: Disponível Coleções: Bases de dados internacionais Base de dados: MEDLINE Assunto principal: Doenças Cardiovasculares / Expectativa de Vida / Comportamento de Redução do Risco / Diabetes Mellitus Tipo 2 / Estilo de Vida Saudável / Neoplasias Aspecto clínico: Etiologia / Prognóstico Limite: Adulto / Feminino / Humanos / Masculino / Meia-Idade Idioma: Inglês Revista: BMJ Assunto da revista: Medicina Ano de publicação: 2020 Tipo de documento: Artigo País de afiliação: Estados Unidos